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一、风温(肺炎合并胸膜炎)詹某,女,6岁,1976年2月18日初诊。三天前因外感发烧,体温39℃,咳嗽喘急,自服中西药无效。16日晚病情加重,体温40.5℃,神昏谵语,呼吸急促,胸痛拒按,到某中医院急诊。血检:白细胞23800,中性94%。双肺可听到明显湿罗音和支气管呼吸音,语音传导增强。X 线检查:肺纹理增粗,右肺野密度稍有增高,右肋膈角变钝,膈运动减低。西医诊断:(1)肺炎;(2)干性胸膜炎。
First, the wind temperature (pneumonia with pleurisy) Zhan Mou, female, 6 years old, February 18, 1976 new diagnosis. Three days ago due to exogenous fever, body temperature 39 °C, coughing and shortness of breath, self-service Chinese and Western medicine is invalid. On the evening of the 16th, the condition worsened, and the body temperature was 40.5°C. The god fainted, breathless, and chest pain refused to press and went to a Chinese hospital for emergency treatment. Blood tests: WBC 23800, neutral 94%. Both lungs could hear pronounced wet rales and bronchial breath sounds and enhanced voice conduction. X-ray examination: thickening of lung texture, a slight increase in the density of the right lung, dullness of the right rib angle, and reduction in hernia movement. Western diagnosis: (1) pneumonia; (2) dry pleurisy.